अन्तर्राष्ट्रिय नर्सिङ लाइसेन्स NCLEX-RN, DHA, HAAD र CBT तयारी
अन्तर्राष्ट्रिय नर्सिङ लाइसेन्स – NCLEX-RN, DHA, HAAD र CBT
NCLEX-RN / DHA / HAAD · NCLEX-RN / DHA / HAAD / CBT
२,०४४ प्रश्न उपलब्ध। मोड छान्नुहोस्:
अन्तर्राष्ट्रिय नर्सिङ: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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A patient with schizophrenia is experiencing auditory hallucinations. Which nursing intervention would be MOST appropriate at this time?
सही उत्तर: क) Administer antipsychotic medication as prescribed.
The most appropriate initial intervention for a patient experiencing auditory hallucinations is to provide a calming environment. Option 2 is tempting as exploring the hallucinations can be overwhelming. Options 1 and 3 are part of treatment but don’t address immediate symptom management. Option 4 is not effective in this acute situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is experiencing increasing shortness of breath. Auscultation reveals diffuse rhonchi. Which nursing intervention would be MOST appropriate at this time?
सही उत्तर: घ) Administer oxygen at 3 liters/minute via nasal cannula
The correct answer is ‘Instruct the patient to use pursed-lip breathing’ (3). Pursed-lip breathing helps to slow down exhalation, promoting better CO2 removal and reducing shortness of breath. The other options represent interventions that may be helpful but do not directly address the underlying issue of air trapping in COPD.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a new diagnosis of diabetes mellitus type 2 presents to the clinic. The nurse educates the patient about dietary modifications. Which statement by the patient indicates a good understanding of their teaching?
सही उत्तर: ग) ‘I need to count carbohydrates and adjust my insulin accordingly.’
The correct answer is ‘I need to count carbohydrates and adjust my insulin accordingly’ (2). This demonstrates an understanding of the core principle of managing diabetes – matching food intake with insulin dosage. The other options reflect misconceptions about dietary restrictions and insulin management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client following post-operative cardiac surgery reports experiencing chest pain that radiates to their left arm. Their vital signs include blood pressure 140/90 mmHg, heart rate 110 bpm, and respiratory rate 20 breaths per minute. Which intervention should the nurse implement FIRST?
सही उत्तर: ग) Monitor the client’s EKG continuously
The correct answer is 'Monitor the client’s EKG continuously' (2). The reported chest pain with associated vital sign abnormalities strongly suggests an acute cardiovascular event such as myocardial infarction. Continuous EKG monitoring is paramount for rapid detection and management of arrhythmias or ST-segment changes. Administering morphine may mask symptoms, and notifying the surgeon should occur after immediate assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a stage III pressure ulcer on their sacrum is receiving wound care. Which intervention is MOST important for the nurse to implement?
सही उत्तर: ख) Maintaining meticulous skin hygiene using warm water and soap
The correct answer is 'Maintaining meticulous skin hygiene using warm water and soap' (1). This action directly addresses the key component of pressure ulcer management – reducing bacterial load. The other options are either inappropriate for a stage III ulcer or could potentially damage tissue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is admitted with pneumonia. The nurse assesses that the patient’s respiratory rate is 32 breaths per minute, and they report feeling short of breath. What is the priority nursing intervention?
सही उत्तर: क) Administer oxygen via nasal cannula at 2L/min
The correct answer is 'Notify the physician immediately for medication administration' (0). The patient’s respiratory rate of 32 breaths per minute indicates significant distress. Prompt medical evaluation and potential intervention are crucial in this situation. The other options represent less critical actions that do not address the immediate respiratory urgency.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is prescribed salmeterol inhaler. What is the primary mechanism of action of this medication?
सही उत्तर: ग) C) Increasing ciliary clearance to remove mucus from the lungs.
Salmeterol is a long-acting beta-adrenergic agonist that selectively stimulates beta-2 receptors in the smooth muscle of the bronchioles causing bronchodilation and easing breathing difficulty. Options A & C address inflammation/mucus; D focuses on surfactant.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Parkinson’s disease is prescribed levodopa. What is the primary reason for combining levodopa with carbidopa?
सही उत्तर: ग) C) To reduce nausea associated with levodopa administration.
Levodopa is rapidly converted to dopamine in the periphery, leading to side effects. Carbidopa inhibits this peripheral conversion, allowing more levodopa to reach the brain where it’s needed for treatment of Parkinson's disease. Option A is incorrect; C addresses nausea only, and D describes a less significant effect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which statement best describes the purpose of administering a prophylactic dose of penicillin before certain dental procedures?
सही उत्तर: ग) C) To enhance the effectiveness of local anesthesia.
The prophylactic penicillin dose is given to prevent perioral bacteremia, a rare but serious infection that can occur when oral streptococci enter the bloodstream through small abrasions in the mouth during dental procedures. This protects vulnerable patients with underlying heart conditions. Options A & C are incorrect; D is related to pain management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking oral metronidazole reports nausea and metallic taste. Which of the following is the MOST likely cause?
सही उत्तर: ख) B) Stimulation of the vagus nerve due to drug absorption.
Metronidazole is known to cause nausea and a metallic taste as a common side effect, primarily due to stimulation of the vagus nerve. While other options might contribute to digestive issues, this specific symptom is most strongly associated with metronidazole's action. Options A, C and D are less directly linked.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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